Organization
MARSHALL I MITCHELL DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL I MITCHELL DDS (DENTIST)
(870) 837-2006
Entity
Organization
Contact information
Practice address
142 HAYNES, CAMDEN, AR 71701
(870) 837-2006
Mailing address
PO BOX 791, CAMDEN, AR 71711
(870) 837-2006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2668
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56516
BCBS
AR
01
—
852335
BCBS
AR
Enumeration date
02/08/2007
Last updated
08/22/2020
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